Based on public Medicaid payment data.
Sam S Park
Medicaid Provider in Corona, CA
Type
Individual Provider
Address
1222 Magnolia Ave Ste 101
Corona, CA 928812075
Phone
9092560456
NPI
1831614213
Procedures
1
Total Claims
350
Patients Served
350
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $66.52 | 350 | 350 |
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